1538173281 NPI number — ALABAMA INTERNAL MEDICINE PC

Table of content: (NPI 1538173281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538173281 NPI number — ALABAMA INTERNAL MEDICINE PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ALABAMA INTERNAL MEDICINE PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538173281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
48 MEDICAL PARK DR E
Provider Second Line Business Mailing Address:
SUITE 356
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35235-3400
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-838-3200
Provider Business Mailing Address Fax Number:
205-838-6981

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
48 MEDICAL PARK EAST DRIVE
Provider Second Line Business Practice Location Address:
SUITE 356
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35235-3406
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-838-3200
Provider Business Practice Location Address Fax Number:
205-838-6981
Provider Enumeration Date:
07/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAND
Authorized Official First Name:
ROBIN
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
205-838-3200

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1700890233 . This is a "DR. KULBACK INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1790799211 . This is a "DR. JACKSON INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51516833 . This is a "STEPHEN JACKSON M.D. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00274219 . This is a "NEW RR MEDICARE INDIVIDUAL PTAN 5/9/08 DR. LORI LYNN" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051556109 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1265604227 . This is a "INDIVIDUAL NPI FOR DR. HERNANDO CARTER" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: P00004569 . This is a "DR. JACISON INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 051553469 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 51516833 . This is a "DR. JACKSON BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51528670 . This is a "LORI LYNN D.O. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: CK7413 . This is a "RR MCR" identifier . This identifiers is of the category "OTHER".
  • Identifier: P00167784 . This is a "DR. LYNN INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1881865103 . This is a "INDIVIDUAL NPI FOR DR. GILBERT FRANKLIN DOUGLAS IV" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 1972517472 . This is a "DR. LYNN INDIVIDUAL NPI" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 529913030 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110245852 . This is a "DR. KULBACK INDIVIDUAL RR MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 51512225 . This is a "STEVEN KULBACK M.D. BCBS" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".




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